Organization Active NPI

Smile Dental Center of N.J., PA

  • General Practice Dentistry
  • North Bergen, NJ
National Provider Identifier
1629290663
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19391 Issued in NJ
Legal business name
SMILE DENTAL CENTER OF N.J., PA
Practice address
7110 Bergenline Ave
North Bergen, NJ 07047-5415
Phone
(201) 861-4600
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maheshkumar K ShahNPI 1710939434
Title
Owner
Phone
(201) 861-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19391 NJ Primary

Addresses

Primary practice location

7110 Bergenline Ave
North Bergen, NJ 07047-5415

Mailing address

566 Mill Run
Paramus, NJ 07652-1755
Phone (201) 445-9092

National Provider Directory

National Provider Directory

Locations

7110 Bergenline Ave
North Bergen, NJ 07047
Phone (201) 255-0657

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1629290663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 MILL RUN",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521755",
            "telephone_number": "201-445-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 BERGENLINE AVE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475415",
            "telephone_number": "201-861-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL CENTER OF N.J., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MAHESHKUMAR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-861-4600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "19391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.